| Doctor Name: | DEBORAH J. BROOKER |
| NPI Number: | 1194890889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 0153551 |
| Business Practice Address: | 300 Main St. Suite 5 Vestal, NY - 13850 |
| Business Phone Number: | 6073234110 |
| Business Fax Number: | 6073234109 |
| Mailing Address: | 300 Main St., Suite 5 VESTAL |
| State: | NY |
| Postal Code: | 13850 |
| Phone Number: | 6073234110 |
| Fax Number: | 6073234109 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0153551 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |